– See: Frx Dislocations of the Hip – Discussion: – because of associated high energy trauma: look for other injuries – vast majority of patients sustained a hip dislocation will have associated injuries; – assoc ligamentous injuries to ipsilateral knee; – associated posterior wall fractures, femoral head, … Read more
– Technique: – best visualization of the shoulder joint is through the posterior portal; – portal usually is located 1.5-3 cm distal & 1-2 cm medial to postero-lateral tip of acromion; – further refine the proper location of the portal by finding the soft spot, using deep palpation of the … Read more
– See: shoulder joint menu and arthroscopic RCT repair Fluid Management: Positioning: beach chair position is comfortable for both the patient and the surgeon and allows the option of converting to an open procedure (if necessary); patients need to be seated with the torso raised to 70 deg with a foled sheet placed on the medial … Read more
– See: Arthroscopic Acromioplasty – Lateral portal: – used for visualization of, or for insertion of instruments into, subacromial space, (usually for arthroscopic acromioplasty or for calcific tendinitis); calcific tendinitis); – the key to lateral portal placement is that it must allow triangulation over the entire undersurface of the anterior acromion; – if the portal is … Read more
– Discussion: – shoulder arthroscopy / acute dislocations / recurrent anterior instability / multidirectional instability / posterior instability – drive through sign: – refers to the ability to pass the arthroscope easily between the humeral head and the glenoid at level of anterior band of inferior glenohumeral ligament; … Read more
– See: Open Acromioplasty – Discussion and Indications: – objective good to excellent results may be achieved in over 70% of patients, and subjective satisfactory results are achieved in over 90% of patients; – shoulder arthroscopy is indicated in cases of impingement syndrome and questionable rotator cuff tear repair, since the shoulder … Read more
– Discussion, Indications and Outcomes: – impingement syndrome – open acromioplasty – what exactly does an acromioplasty do? – [Subacromial denervation as a treatment modality for patients with subacromial pathology] – Radiographs – Initial Set Up: – prior to inserting instruments into subacromial space it is helpful to prevent subacromial bleeding … Read more
Discussion: – objective good to excellent results may be achieved in over 70% of patients, and subjective satisfactory results are achieved in over 90% of patients; – shoulder arthroscopy is indicated in cases of impingement syndrome and questionable rotator cuff tear repair, since the shoulder scope will be able to determine the status of … Read more
– See: Brachial Plexus Injury – Indications: – shoulder paralysis: – may include paralytic dislocation or combined rotator cuff / deltoid paralysis (in which case shoulder arthroplasty would be contra-indicated); – as a requirement for shoulder fusion, the muscles of forearm and … Read more
– Discussion: – musculoskeletal dz is characterized by congenital immobility of multiple joints. – there may be as many as 10 to 20 specific arthrogrypotic disorders, all with similar joint manifestations; – believed to be caused by oligohydrmnios & conditions limiting fetal movement; – joint develops in … Read more